Reconstruction of Larger Nasal Defects using Tip Divided-Scalping Forehead Flap

The scalping forehead flap, first reported by Converse in 1942 [1], is one of the best techniques for total and subtotal nasal reconstruction because this flap is extremely reliable and provides skin of good quality and colour-match [2]. We introduce the technique and refinements of nasal reconstruction for defects together with the nasal lining and the upper lip by using the divided distal part of the scalping forehead flap. This method provides adequate tissue for large and three-dimensional defects in a one-stage procedure.